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4th   NIHR Trainees Meeting
30 November - 1 December 2010
The Midland Hotel, Manchester
     
     
   
 
     
     
    registration form
   
   

To register to attend the meeting please complete the form below

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contact details
   
Title *
   
First name *
   
Last name *
   
Position *
   
Organisation *
   
Address *
 
 
 
   
Postcode *
   
Telephone *
   
Email *
   

 

* I confirm that I am currently an NIHR funded trainee Please make a selection
       
Level of award
       
Start date
       
Please indicate your attendance at the meeting
       
  Whole meeting
       
  30 November only
       
  1 December only
       
Hotel accommodation will be provided, if required by delegates, for the night of 30 November at the Midland Hotel Manchester or at the adjacent Radisson Edwardian Manchester Hotel.
       
  I will require accommodation  
       
  I will not require accommodation  
       
Specific dietary requirements, eg vegetarian (if applicable please give details)
 
Other needs, eg access (if applicable please give details)
       

 

research interests
 
Please give details of your research interests. This information will be collated for circulation to other delegates attending the meeting for the purpose of collaboration. (250 words maximum)
 
 
I agree that my contact details can be circulated to other delegates
I do not agree that my contact details can be circulated to other delegates
 
poster
 
Please tick the box if you are interested in presenting a poster at the meeting
 
If you would like to present a poster at the meeting please give a brief abstract (250 words maximum)
 
Abstract title
 
Abstract content
 
 
message (optional)
 
 
 
 
* Please tick box when you are ready to submit your details
 
The data provided on this form will be held on a database in accordance with the Data Protection Act and will only be used under the strict control of NIHR.
 
 

MEETING ADMINISTRATION

Professional Briefings
37 Star Street
Ware
Hertfordshire
SG12 7AA

Telephone: 01920 487672
Fax: 01920 462730
Email: bookings@profbriefings.co.uk